In this study, we investigated the correlation between the composition and function of the gut microbiota and the semen quality of Rongchang boars. Significant differences in gut microbial composition between boars with high (group H) and low (group L) semen utilization rates were identified through 16S rRNA gene sequencing, with 18 differential microbes observed at the genus level. Boars with lower semen utilization rates exhibited a higher relative abundance of Treponema, suggesting its potential role in reducing semen quality. Conversely, boars with higher semen utilization rates showed increased relative abundances of Terrisporobacter, Turicibacter, Stenotrophomonas, Clostridium sensu stricto 3, and Bifidobacterium, with Stenotrophomonas and Clostridium sensu stricto 3 showing a significant positive correlation with semen utilization rates. The metabolomic analyses revealed higher levels of gluconolactone, D-ribose, and 4-pyridoxic acid in the H group, with 4 pyridoxic acid and D-ribose showing a significant positive correlation with Terrisporobacter and Clostridium sensu stricto 3, respectively. In contrast, the L group showed elevated levels of D-erythrose-4-phosphate, which correlated negatively with Bifidobacterium and Clostridium sensu stricto 3. These differential metabolites were enriched in the pentose phosphate pathway, vitamin B6 metabolism, and antifolate resistance, potentially influencing semen quality. These findings provide new insights into the complex interplay between the gut microbiota and boar reproductive health and may offer important information for the discovery of disease biomarkers and reproductive health management. Full article

Common cooking methods were used to prepare basmati rice products, including boiling 1 (boiling by absorption), boiling 2 (boiling in extra amount of water), frying, and pressure cooking. The cooked rice was held at various temperatures and times as follows: it was made fresh (T1), kept at room temperature (20–22 °C) for 24 h (T2), kept at 4 °C for 24 h (T3), and then reheated after being kept at 4 °C for 24 h (T4). The proximate composition, total dietary fibre, resistant starch (RS), and in vitro starch digestion rate of products were examined. The effect of RS on blood glucose and lipid profiles was measured in humans and rats, including a histopathological study of the liver and pancreas in rats. The basmati rice that was prepared via boiling 1 and stored with T3 was found to be low in glycaemic index and glycaemic load, and to be high in resistant starch. Similarly, in rats, the blood glucose level, cholesterol, triglycerides, and LDL were reduced by about 29.7%, 37.9%, 31.3%, and 30.5%, respectively, after the consumption of basmati rice that was prepared via boiling 1 and stored with T3. Awareness should be raised among people about the health benefits of resistant starch consumption and the right way of cooking. Full article

The so-called perífrasis perfectivas in Galician present the action as concluded or realized. This particular aspectual feature constitutes the common ground for an otherwise heterogeneous set of constructions, ranging from rematar de ‘finish’+ infinitive (e.g., rematóu de beber ‘(s/he) finished drinking’) to ter ‘have’ + participle (e.g., teñen ido ‘(they) have gone (Rep.)’). This work provides a critical assessment of their syntactic and semantic properties in cases where the participle may not show agreement. This is the case for periphrases built on three auxiliaries: ter, levar, and dar, of which ter + participle stands out as the most grammaticalized one. The case of ter is further investigated in relation to European Portuguese (EP) and Brazilian Portuguese (BP), where ter + participle is considered a fully-fledged perfect tense. Additionally, the use of these periphrases in areas where Spanish is also present is evaluated from a contact perspective. Full article

Investigating pharmacovigilance (PV) practices among oncology healthcare providers (HCPs) is crucial for patient safety in oncology settings. This study aimed to assess the awareness, attitudes, and practices towards PV and identify barriers to effective adverse drug reaction (ADR) reporting for HCPs working in oncology-related settings. Employing a cross-sectional survey design, we collected data from 65 HCPs, focusing on their experiences with ADR reporting, education on ADR management, and familiarity with PV protocols. The results showed that about half of the responders were pharmacists. Around 58.9% of the respondents reported ADRs internally, and 76.9% had received some form of ADR-related education. However, only 38.5% were aware of formal ADR review procedures. Methotrexate and paclitaxel emerged as the drugs most frequently associated with ADRs. The complexity of cancer treatments was among the common reasons for the low reporting of ADRs by the study participants. The findings highlight the need for enhanced PV education and standardized reporting mechanisms to improve oncology care. We conclude that reinforcing PV training and streamlining ADR-reporting processes are critical to optimizing patient outcomes and safety in oncology, advocating for targeted educational interventions and the development of unified PV guidelines. Full article

Respiratory viruses cause airway inflammation, resulting in epithelial injury and repair. miRNAs, including miR-149-5p, regulate different pathological conditions. We aimed to determine how miR-149-5p functions in regulating pro-inflammatory IL-6 and p63, key regulators of airway epithelial wound repair, in response to viral proteins in bronchial (BEAS-2B) and alveolar (A549) epithelial cells. BEAS-2B or A549 cells were incubated with poly (I:C, 0.5 µg/mL) for 48 h or SARS-CoV-2 spike protein-1 or 2 subunit (S1 or S2, 1 μg/mL) for 24 h. miR-149-5p was suppressed in BEAS-2B challenged with poly (I:C), correlating with IL-6 and p63 upregulation. miR-149-5p was down-regulated in A549 stimulated with poly (I:C); IL-6 expression increased, but p63 protein levels were undetectable. miR-149-5p remained unchanged in cells exposed to S1 or S2, while S1 transfection increased IL-6 expression in BEAS-2B cells. Ectopic over-expression of miR-149-5p in BEAS-2B cells suppressed IL-6 and p63 mRNA levels and inhibited poly (I:C)-induced IL-6 and p63 mRNA expressions. miR-149-5p directly suppressed IL-6 mRNA in BEAS-2B cells. Hence, BEAS-2B cells respond differently to poly (I:C), S1 or S2 compared to A549 cells. Thus, miR-149-5p dysregulation may be involved in poly (I:C)-stimulated but not S1- or S2-stimulated increased IL-6 production and p63 expression in BEAS-2B cells. Full article

The advancement towards utilizing renewable energy sources is crucial for mitigating environmental issues such as air pollution and climate change. Offshore wind turbines, particularly floating offshore wind turbines (FOWTs), are developed to harness the stronger, steadier winds available over deep waters. Accurate metocean data forecasts, encompassing wind speed and wave height, are crucial for offshore wind farms’ optimal placement, operation, and maintenance and contribute significantly to FOWT’s efficiency, safety, and lifespan. This study examines the application of three machine learning (ML) models, including Facebook Prophet, Seasonal Autoregressive Integrated Moving Average with Exogenous Factors (SARIMAX), and long short-term memory (LSTM), to forecast wind speeds and significant wave heights, using data from a buoy situated in the Pacific Ocean. The models are evaluated based on their ability to predict 1-, 3-, and 30-day future wind speed and wave height values, with performances assessed through Mean Absolute Error (MAE) and Root Mean Squared Error (RMSE) metrics. Among the models, LSTM displayed superior performance, effectively capturing the complex temporal dependencies in the data. Incorporating exogenous variables, such as atmospheric conditions and gust speed, further refined the predictions.The study’s findings highlight the potential of machine learning (ML) models to enhance the integration and reliability of renewable energy sources through accurate metocean forecasting. Full article

Currently, it is known that angiotensin II (AngII) induces inflammation, and an AT₁R blockade has anti-inflammatory effects. The use of an AT₁ receptor antagonist promotes the inhibition of the secretion of multiple proinflammatory cytokines in macrophages, as well as a decrease in the concentration of reactive oxygen species. The aim of this study was to determine the effect of AT₁ receptor gene silencing on the modulation of cytokines (e.g., IL-1β, TNF-α, and IL-10) in THP-1 macrophages and the relation to the gene expression of NF-κB. Materials and Methods: We evaluated the gene expression of PPAR-γ in THP-1 macrophages using PMA (60 ng/mL). For the silencing, cells were incubated with the siRNA for 72 h and telmisartan (10 µM) was added to the medium for 24 h. After that, cells were incubated during 1 and 24 h, respectively, with Ang II (1 µM). The gene expression levels of AT₁R, NF-κB, and cytokines (IL-1β, TNF-α, and IL-10) were measured by RT-qPCR. Results: We observed that silencing of the AT₁ receptor causes a decrease in the expression of mRNA of proinflammatory cytokines (IL-1β and TNF-α), NF-κB, and PPAR-γ. Conclusions: We conclude that AT₁R gene silencing is an alternative to modulating the production of proinflammatory cytokines such as TNF-α and IL-1β via NF-κB in macrophages and having high blood pressure decrease. Full article

This review aims to gather the current state of the art on the encapsulation methods using alginate as the main polymeric material in order to produce hydrogels ranging from the microscopic to macroscopic sizes. The use of alginates as an encapsulation material is of growing interest, as it is fully bio-based, bio-compatible and bio-degradable. The field of application of alginate encapsulation is also extremely broad, and there is no doubt it will become even broader in the near future considering the societal demand for sustainable materials in technological applications. In this review, alginate’s main properties and gelification mechanisms, as well as some factors influencing this mechanism, such as the nature of the reticulation cations, are first investigated. Then, the capacity of alginate gels to release matter in a controlled way, from small molecules to micrometric compounds, is reported and discussed. The existing techniques used to produce alginates beads, from the laboratory scale to the industrial one, are further described, with a consideration of the pros and cons with each techniques. Finally, two examples of applications of alginate materials are highlighted as representative case studies. Full article

The preservation of cultural heritage plays a key role in the development of society. To preserve cultural heritage, protection zones are established, which represent an encumbrance on land plots and, therefore, should be taken into account in the valuation process. Currently, there is a problem that mass (cadastral) and individual valuation methods do not necessarily include cultural heritage objects and their zones in cost coefficients. The absence of a mechanism to address their individual characteristics in the real estate valuation system has a significant impact on the value of real estate and leads to unjustifiably inflated market value and, as a consequence, to disputing the results of cadastral valuation. This article is devoted to determining the impact of protection zones of cultural heritage objects on the value of land intended for individual housing construction, using the example of the city of Orenburg. This article considers various methods of identifying patterns of the influence of zones with special conditions of use of the territory on the market value of land and substantiates the use of the method of comparative sales in the conditions of a low-active land market in Orenburg, a statistical analysis of market information, on the basis of which the type of activity of the real estate market in Orenburg was determined. The patterns of the calculation of corrections for the remoteness of the studied land plots from the objects of the transport and social infrastructure of Orenburg were revealed in this work as well. Through the method of paired sales within the framework of an individual assessment of the land plot intended for individual housing construction, the diminishing impact of the zones of protection of cultural heritage objects on the market value of land plots was revealed. This allows for conclusions to be drawn as to whether objects of cultural heritage have an impact on the value of real estate, and as a result, there is a need to modify the applied methods of mass and individual real estate valuation within the boundaries of historical settlements. Full article

Background: The diagnosis of coeliac disease (CD) in adults is based on clinical, serological and histological criteria. The inappropriate performance of intestinal biopsies, non-specificity of mild histological lesions and initiation of a gluten-free diet (GFD) before biopsy may hamper the diagnosis. In these situations, determining the intraepithelial lymphogram of the duodenum by flow cytometry (IEL-FC) can be helpful. Objectives: To describe the clinical scenarios in which the IEL-FC is used and its impact on the diagnosis of CD. Methods: All adult patients with suspected CD at three tertiary centres for whom the duodenal histology and IEL-FC were available were identified. Catassi and Fasano’s diagnostic criteria and changes to a CD diagnosis after the IEL-FCs were collected. Results: A total of 348 patients were included. The following indications for an IEL-FC formed part of the initial study for CD (38%): negative conventional work-up (32%), already on a GFD before duodenal biopsies (29%) and refractoriness to a GFD (2%). The IEL-FC facilitated a definitive diagnosis in 93% of patients with an uncertain diagnosis who had had a conventional work-up for CD or who were on a GFD before histology. Conclusions: The IEL-FC facilitates the confirmation or rejection of a diagnosis of CD in clinical scenarios in which a conventional work-up may be insufficient. Full article

How local economies can successfully develop remains an important issue for any developing country. One mechanism for promotion of economic development is government-driven policy. The problem is that it is not clear whether public-led economic promotion attracts consumers and which promotion factors are relatively significant for boosting particular goods. This paper examines attributes of green tea products likely influencing consumer preferences, focusing on the Thai Nguyen area in Vietnam as an example. In this area, the “One Commune, One Product” (OCOP) project has been implemented by the local government. This study employs randomized conjoint analysis based on data collected from 450 randomly selected consumers in several local supermarkets. Interestingly, the results show that online style sales have a negative preference for the purchase of green tea products, while transparency, such as the traceability of the product and product information, and reliability, such as certification, enhance the purchase of these products by consumers. However, this finding is not necessarily robust because our results indicate that approximately 90% of consumers tend to choose the default pair, which means that they do not actively prefer the product, possibly implying that this kind of public-led promotion is not yet broadly familiar to all people. Full article

Data are the core element of digital transformation. Data factor marketization (DFM) is critical in the process of digital transformation, which promotes urban green development. This paper analyzes the role of digitization in urban environmental sustainability. We investigate the effects of DFM on environmental pollution (EP) using a difference-in-differences approach and data from 283 cities in China from 2006 to 2019. The findings reveal that cities implementing DFM demonstrate an average reduction in EP of 2.67%. The mechanism behind DFM lowering EP involves fostering green innovation, increasing public awareness of environmental issues, attracting IT professionals, optimizing the industrial structure, and enhancing digital finance capabilities. Large cities, cities in the south, and those not primarily dependent on natural resources exhibit a more pronounced reduction in EP through DFM. Implementing policies related to digital infrastructure and enhancing the protection of urban intellectual property rights further amplifies the effect of DFM in reducing pollution. Additionally, this effect exhibits spatial spillover effects. This study contributes to the existing literature by (1) demonstrating DFM’s role in improving urban environmental quality in China through digital technology and market mechanisms, thereby aligning economic growth with ecological sustainability; (2) emphasizing the importance of public engagement in environmental stewardship through increased awareness and community participation in policymaking, as well as fostering social inclusion and ecological conservation; (3) emphasizing spatial spillover effects, the importance of inter-city collaboration in environmental policies, and advocating for comprehensive strategies to achieve broader environmental improvements across urban areas. Full article

This paper presents the results of adsorption and permeation experiments of hydrogen and methane at elevated temperatures on a carbon-based nanoporous membrane material provided by Fraunhofer IKTS. The adsorption of pure components was measured between 90 °C and 120 °C and pressures up to 45. The Langmuir adsorption isotherm shows the best fit for all data points. Compared to available adsorption isotherms of H${}_2$ and CH${}_4$ on carbon, the adsorption on the investigated nanoporous carbon structures is significantly lower. Single-component permeation experiments were conducted on membranes at temperatures up to 220 °C. After combining the experimental results with a Maxwell–Stefan surface diffusion model, Maxwell–Stefan surface diffusion coefficients ${\mathcal{D}}_i^s$ were calculated. The calculated values are in line with an empirical model and thus can be used in future multi-component modeling approaches in order to better analyze and design a membrane system. The published adsorption data fill a gap in the available adsorption data for CH₄ and H₂. Full article

This study introduces a novel approach to bolstering quantum key distribution (QKD) security by implementing swift classical channel authentication within the SARG04 and BB84 protocols. We propose mono-authentication, a pioneering paradigm employing quantum-resistant signature algorithms—specifically, CRYSTALS-DILITHIUM and RAINBOW—to authenticate solely at the conclusion of communication. Our numerical analysis comprehensively examines the performance of these algorithms across various block sizes (128, 192, and 256 bits) in both block-based and continuous photon transmission scenarios. Through 100 iterations of simulations, we meticulously assess the impact of noise levels on authentication efficacy. Our results notably highlight CRYSTALS-DILITHIUM’s consistent outperformance of RAINBOW, with signature overheads of approximately 0.5% for the QKD-BB84 protocol and 0.4% for the QKD-SARG04 one, when the quantum bit error rate (QBER) is augmented up to 8%. Moreover, our study unveils a correlation between higher security levels and increased authentication times, with CRYSTALS-DILITHIUM maintaining superior efficiency across all key rates up to 10,000 kb/s. These findings underscore the substantial cost and complexity reduction achieved by mono-authentication, particularly in noisy environments, paving the way for more resilient and efficient quantum communication systems. Full article

Isocitrate dehydrogenase (IDH) mutant gliomas are a primary malignancy of the central nervous system (CNS) malignancies, most commonly affecting adults under the age of 55. Standard of care therapy for IDH-mutant gliomas involves maximal safe resection, radiotherapy, and chemotherapy. However, despite good initial responses to multimodality treatment, recurrence is virtually universal. IDH-mutant gliomas represent a life-limiting prognosis. For this reason, there is a great need for novel treatments that can prolong survival. Uniquely for IDH-mutant gliomas, the IDH mutation is the direct driver of oncogenesis through its oncometabolite 2-hydroxygluterate. Inhibition of this mutated IDH with a corresponding reduction in 2-hydroxygluterate offers an attractive treatment target. Researchers have tested several IDH inhibitors in glioma through preclinical and early clinical trials. A phase III clinical trial of an IDH1 and IDH2 inhibitor vorasidenib yielded promising results among patients with low-grade IDH-mutant gliomas who had undergone initial surgery and no radiation or chemotherapy. However, many questions remain regarding optimal use of IDH inhibitors in clinical practice. In this review, we discuss the importance of IDH mutations in oncogenesis of adult-type diffuse gliomas and current evidence supporting the use of IDH inhibitors as therapeutic agents for glioma treatment. We also examine unresolved questions and propose potential directions for future research. Full article

Amid the deepening imbalance in the supply and demand of allogeneic organs, xenotransplantation can be a practical alternative because it makes an unlimited supply of organs possible. However, to perform xenotransplantation on patients, the source animals to be used must be free from infectious agents. This requires the breeding of animals using assisted reproductive techniques, such as somatic cell nuclear transfer, embryo transfer, and cesarean section, without colostrum derived in designated pathogen-free (DPF) facilities. Most infectious agents can be removed from animals produced via these methods, but several viruses known to pass through the placenta are not easy to remove, even with these methods. Therefore, in this narrative review, we examine the characteristics of several viruses that are important to consider in xenotransplantation due to their ability to cross the placenta, and investigate how these viruses can be detected. This review is intended to help maintain DPF facilities by preventing animals infected with the virus from entering DPF facilities and to help select pigs suitable for xenotransplantation. Full article

The subsynchronous oscillation caused by the resonance between power electronic devices and series compensation devices or weak power grids introduced by large-scale renewable energy generation greatly reduces the transmission capacity of the system and may endanger the safe operation of the power system. It even leads to system oscillation instability. In this paper, based on the advantages of a simple solution, a small amount of calculation and anti-noise of ERA, a method of subsynchronous oscillation parameter identification based on the eigensystem realization algorithm (ERA) is proposed. The Hankel matrix in the improved ERA is obtained by splicing the real part matrix and the imaginary part matrix of the synchrophasor, thus solving the problem of angular frequency conjugate constraints of two fundamental components and two oscillatory components which are not considered in the existing ERA. The solution to this problem is helpful to improve the accurate parameter identification results of ERA under the data window of 200 ms and weaken the limitation caused by the assumption that the synchrophasor model is fixed. The practicability of the improved method based on PMU is verified by the synthesis of ERA and the actual measurement data. Compared with the existing ERA, the improved ERA can accurately identify the parameters of each component under the ultra-short data window and realize the dynamic monitoring of power system subsynchronous oscillation. Full article

The neuroimmune system is a collection of immune cells, cytokines, and the glymphatic system that plays a pivotal role in the pathogenesis and progression of Alzheimer’s disease (AD). Of particular focus are cytokines, a group of immune signaling molecules that facilitate communication among immune cells and contribute to inflammation in AD. Extensive research has shown that the dysregulated secretion of certain cytokines (IL-1β, IL-17, IL-12, IL-23, IL-6, and TNF-α) promotes neuroinflammation and exacerbates neuronal damage in AD. However, anti-inflammatory cytokines (IL-2, IL-3, IL-33, and IL-35) are also secreted during AD onset and progression, thereby preventing neuroinflammation. This review summarizes the involvement of pro- and anti-inflammatory cytokines in AD pathology and discusses their therapeutic potential. Full article

Due to the phenomenon of deformation-induced phase transformation, the mechanical properties of TRIP steel, including the elastic modulus, undergo changes during the deformation process. This deviation from plastic theory in describing the deformation process is addressed in this study. Through tensile and cupping tests conducted at different rates, the relationship between inelastic deformation and forming time in TRIP steel is established. These tests demonstrate the presence of viscosity and the rheological behavior of solid metal materials during inelastic deformation. The experimental findings also highlight the significance of selecting an appropriate deformation rate for successful TRIP steel forming. Excessive deformation rates can result in the rapid transformation of residual austenite into martensite and increase the likelihood of material cracking. Building upon rheological theory, a constitutive equation is developed to describe the relationship between stress, strain, and strain rate for TRIP600 under creep test conditions. This constitutive model is then applied to simulate the cupping test, and by comparing the simulation results with actual test data, it is confirmed that the rheological constitutive model provides a more accurate representation of TRIP steel deformation. Furthermore, it can guide the improvement of the forming process to enhance the success rate of forming operations. Full article

The medical complexity of surgical patients is increasing, and surgical risk calculators are crucial in providing high-value, patient-centered surgical care. However, pre-existing models are not validated to accurately predict risk for major gynecological oncology surgeries, and many are not generalizable to low- and middle-income country settings (LMICs). The international GO SOAR database dataset was used to develop a novel predictive surgical risk calculator for post-operative morbidity and mortality following gynecological surgery. Fifteen candidate features readily available pre-operatively across both high-income countries (HICs) and LMICs were selected. Predictive modeling analyses using machine learning methods and linear regression were performed. The area-under-the-receiver-operating characteristic curve (AUROC) was calculated to assess overall discriminatory performance. Neural networks (AUROC 0.94) significantly outperformed other models (p < 0.001) for evaluating the accuracy of prediction across three groups, i.e., minor morbidity (Clavien–Dindo I-II), major morbidity (Clavien–Dindo III-V), and no morbidity. Logistic-regression modeling outperformed the clinically established SORT model in predicting mortality (AUROC 0.66 versus 0.61, p < 0.001). The GO SOAR surgical risk prediction model is the first that is validated for use in patients undergoing gynecological surgery. Accurate surgical risk predictions are vital within the context of major cytoreduction surgery, where surgery and its associated complications can diminish quality-of-life and affect long-term cancer survival. A model that requires readily available pre-operative data, irrespective of resource setting, is crucial to reducing global surgical disparities. Full article

PURPOSE. Different combination modalities between an anti-PD-1/PD-L1 agent and a platinum-based chemotherapy or another checkpoint inhibitor (with or without a short course or full course of a platinum doublet) proved superior to chemotherapy alone in multiple clinical trials, but these strategies were not directly compared. The aim of this study is to report the real-world data results with different immunotherapy combinations in a series of patients treated in consecutive cohorts at the Ion Chiricuță Oncology Institute. METHODS. A total of 122 patients were successively enrolled in three cohorts: (1A) nivolumab + ipilimumab (18 patients), (1B) nivolumab + ipilimumab + short-course chemotherapy (33 patients), and (2) pembrolizumab plus full-course chemotherapy (71 patients). Endpoints included overall survival (OS), progression-free survival (PFS), objective response (ORR), and univariate and multivariate exploratory analysis of prognostic factors. RESULTS. Median follow-up in the consecutive cohorts 1A, 1B, and 2 was 83 versus 59 versus 14.2 months. Median OS and PFS for all patients were 22.2 and 11.5 months, respectively, and 2-year actuarial OS and PFS were 49% and 35%, respectively. For the nivolumab + ipilimumab (cohorts 1A and 1B) versus pembrolizumab combinations (cohort 2), median OS was 14 vs. 24.8 months (p = 0.18) and 2-year actuarial survival 42% vs. 53%; median PFS was 8.6 vs. 12.7 months (p = 0.41) and 2-year actuarial PFS 34% vs. 35%; response rates were 33.3% vs. 47.9% (p = 0.22). Older age, impaired PS (2 versus 0–1), corticotherapy in the first month of immunotherapy, and >3.81 neutrophils to lymphocytes ratio were independent unfavorable prognostic factors in the multivariate analysis of survival (limited to 2 years follow-up). The 5-year long-term survival was 30.5% and 18.8% for cohorts 1A and 1B, respectively (not enough follow-up for cohort 2). CONCLUSIONS. Efficacy results using different immunotherapy combination strategies were promising and not significantly different between protocols at 2 years. Real-world efficacy and long-term results in our series were in line with those reported in the corresponding registration trials. Full article

Malignant pleural mesothelioma (MPM) represents a significant health burden, with limited treatment options and poor prognosis. Despite advances in pharmacological and surgical interventions, the role of rehabilitation in MPM management remains underexplored. This study aims to assess the feasibility of a tailored pulmonary rehabilitation intervention addressing physical and respiratory function in MPM patients. A prospective pilot study was conducted on surgically treated MPM patients referred to a cardiopulmonary rehabilitation service. The intervention comprised multidisciplinary educational sessions, physical rehabilitation, and respiratory physiotherapy. Feasibility was evaluated based on dropout rates, adherence to the rehabilitation program, safety, and patient-reported outcomes. Twelve patients were initially enrolled, with seven completing the study. High adherence to physical (T1: 93.43%, T2: 82.56%) and respiratory (T1: 96.2%, T2: 92.5%) rehabilitation was observed, with minimal adverse events reported. Patient satisfaction remained high throughout the study (GPE scores at T1: 1.83 ± 1.17; T2: 2.0 ± 1.15), with improvements noted in physical function, pain management, and health-related quality of life. However, some issues, such as time constraints and lack of continuous supervision, were reported by participants. This pilot study demonstrates the feasibility and potential benefits of a tailored pulmonary rehabilitation intervention in MPM patients. Despite its promising outcomes, further research with larger samples is warranted to validate its efficacy and integrate rehabilitation as a component into the multidisciplinary management of MPM. Full article